Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,190.09 / $5,549.00	Facility		$1,159.00	$3,190.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.17 / $1,787.98 / $3,190.09	Professional		$1,395.17	$1,787.98	$3,190.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,344.66 / $17,551.00 / $40,828.89	Facility		$8,344.66	$17,551.00	$40,828.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,247.90 / $2,912.67 / $4,323.89	Professional		$2,247.90	$2,912.67	$4,323.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.67 / $2,617.62 / $3,580.49	Professional		$1,701.67	$2,617.62	$3,580.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.93 / $2,908.47 / $9,159.66	Professional		$1,843.93	$2,908.47	$9,159.66
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.04 / $2,179.19 / $2,520.67	Professional		$1,790.04	$2,179.19	$2,520.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,908.47	Professional		$32.34	$32.34	$2,908.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.44 / $2,533.44 / $4,643.80	Professional		$1,690.44	$2,533.44	$4,643.80